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631- 589 -8100
73.20 -1 -11
BOX 28
Acting Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
May 16, 2003
Aquino
56 Somerset Ln.
Putnam Valley, NY 10579
Re: Addition - Aquino, Somerset Ln.
No Increases in Number of Bedrooms
(T)Putnam Valley, TM #73.20 -1 -11
Dear Mr. Aquino:
County Executive
I have received and reviewed the plans for the proposed addition to the above - mentioned residence.
The proposal for the addition has been approved as per plans bearing the approval stamp from this
Department dated May 16, 2003 The addition is approved with the following conditions.
-:3f bedronm:; Tnii -"reivi 4i v. -et'• V`/ji;(7:11r1: prior a 11%--.1 Ti Mjg
department.
2. The area of the existing sewage disposal system, and its expansion area, must be
maintained.
3. All plumbing fixtures must be updated with water saving devices, i.e., new low
flush toilets, restrictors for shower heads and faucets, etc.
Any other permits or variances required are the responsibility of the applicant and the jurisdiction of
the Town of Putnam Valley.
If you have any questions, please contact me at your convenience.
Very truly yours,
Michael Luke
ML:lm Public Health Technician
cc:BI
e
•�
Public Health Director+ . �_ _.. . — -` �•- - -,'��
DEPARTMENT
I. Geneva
Brewster, New
. -• - ILOFcETTti �lvtOLI�I'ARI -- = . -� _ � � ,, ~:. ;; `: •-
R.N.; M.S.N.
Associate Public Health Director
Director of Patient Services
OF HEALTH
Road
York 10509•
Environmental Health (845)278.'6130 Fax(845)278-7921
Nursing Services (845)278-6558 WIC(845)278-6678 Fax(845)278-6085
Early Intervention (845)279-6014* Preschool (845) 278 -6082 Fax(845)278-6648.'':
ar (845) 278 - 6648,' •
ADDITION APPLICATION (RESIDENTIAL ONLY
STREET �� .SvP�.reT (aw P TOWN . '"TX MAP# 2 3 , Z� pI-))
NA1lM li 0 -u iNa PHONE 8Y5 -SZG 3 S 5-1 PCED# ;" � -p
MAILING. ADDRESS ,S( S o erse-T Le nre u. - sn a ., U�
DESCRIPTION OF ADDITION_ • Sh-ed ,yo'- M'f Ile-' S e gccLrd n „
NUMBER OF EXISTING BEDROOMS Z- PROPOSED # OF BEDROOMS. •�
(FROM 'CERT. OF OCCUPANCY OR ”-
CERTIFICATION FROM BUILDING INSPECTOR)
*Any addition which is considered a bedroom requires formal approval of plans (Construction Permit)
prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the
Putnam County Sanitary Code.
. _:.t;' > . . - �.., _ - � - .. _ . w ••-R.. - �..,.....� .. ... � .. � ...., - : t' - , .';�'. - °'- - -.:.;.,a__v r.. •..a �._.. .- �...... ..- . -. , r,... -.- •tea- ...... �. -..r
-21
yam. �..r .. a•w �t•-n- 3. -�
Please submit this form and the following to Putnam County Health Dept:, 4 Geneva Road, Brewster, NY
509, Phone 278 -6130.
1 Certified check or money order for $100.00. .
Sketches of existing floor plan (drawn to scale, all living area including basement)
*Non- professional sketches are acceptable.
Two sets of proposed floor plan (drawn to •scale, with name, street, and tax map #)
/4;*Non- professional sketches are acceptable.
• Copy of survey showing well and septic location, to the best of your knowledge.' Include date of
installation if known, Label all wells and septic systems within 200 feet of the property line.
Contact this office with any questions.
5. Copy of Cert. Of Occupancy from Town or Certification from Building Dept. with legal bedroom
count of dhelling.
OFFICE USE
Comments
Feb98
. i
Whouseguidelines '
BUILDING PERMIT
.,. 4. is�., �'-. v` e. a...- �'' 4�'' isir- ?:: ���- �a`: �... a. ii: a.'. ss:.: �; �. �a.:,.': i*„ a.= •t.�:is- 'F��':��aro�':.itt'.i..+ app' �' �: : :w+- ;'iii'•iS�c,%-•c1= :�::i,�: ire. r'_»...«•': i7• o:: ia>..:.. ::.'a'.',:�;�a:' ";�.ia�.^f�::;. �.�,r;
PERMIT NO: 2003 -46 DATE: 1/13/2003
TAX MAP #: 00/73.20 -1 -11
LOCATION: 56 SOMERSET LANE
ISSUED TO: AQUINO FRANK & SONA
56 SOMERSET
PUTNAM VALLEY NY 10579
An Application having been properly filed foir.new construction, addition(s),
alteration(s),,repai s.$s-r)er.the attached _specifications ansi plans,.I i�ie. by �, _,
grant such applications upon the following terms and conditions:
All work must be done in accordance with plans and specifications
annexed to the application and shall be located precisely as indicated
on plan(s) and/or survey.
All work shall be in accordance with Uniform Building and Fire Code
of the State of New York and all pertaining County or Town regulations.
All electrical and plumbing work must be done by contractors duly
licensed by the County of Putnam.
a♦ .. e� •- .. --..r v� -. ..._...�. .. __�.... ♦•.. -.T -a ..D-.�.. ..w Y..r._.�..r... r. ..��... v.r .. •_���.w• —..- -. r. �..._._ _ i rs:s. -.. D. nr - ...- ss..r ..r....• .�. F..
Where applicable, Home Improvement Contractors' license will be required.
This permit is issued for the following:
ADDITION /ALTERATION
SHED DORMER/UNFINISHED ATTIC
STORAGE (22'X 14)
NOTE: THIS PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOWN OF PUTNAM VALLEY; QTY
By. '
CODE ENFORCEMENT OFFICER
CER
Cerrtifr<caie of; Occupancy ;No
J zz. r agttix5
''gocation 'of Premises
TIFICATE
5ft of ' g�
k b' a duly authored agent: '1°®W
died in riny
seal of the Toorn of Putnam 'Valley.
�y.
n N
Brick Tile.
Dirt
Oiled
Bungalow
Concrete
Metal
Swamp
Apartment
Stone
Brook
Store
FNDTNS.
INTERIOR
Lake F.
Store & Apt.
Stone
Rooms
Dams
Store & Office
Concrete
Apt. Rooms
SW. Pools
Office
Blocks
Apt.
Ten. Courts
Gas Station
Brick
Attic Open
Garage
Piers
Attic Finished
OTHER •BLDGS.
EXT. WALLS
PORCHES
Barns
BASEMENT
Wood
X Front
Shacks
Part
Brick
X Side,
Cottages
Full
Brick Van.
X Rear
Bungalows
Cement:Floor
Log
X Encl.
Electric
Finished
Shingle
MISC.
Phone
Garage B. In
Comp.
Plot Plan
Furnace
Field Stone
Driveway,
Cpl
si —boas
Y \\
Y.
U.-
n :asce at
dzpersona G
, s c
provemenof the MP ,Pom, 3 ,
einentioned y atthe sau
d Knave
Y a,tliat�ie;^ reins �F, ; .
;ntioWe- and romsioi<is
nant> to theo f am
er'the seal _
IeTAAi '{lA Yy^ i yw.T-
91 Pi1T
Width Depth Stories
Type Foundation
Size & Use Each
Room with Window Area
Sewerage Type
Size of Septic Tank
Lineal Ft Drainage
Size of Dry Wells
Plumbing
Description
Well
Descrlption -
Additional Information
This application must be accompanied by a copy of surveyor's map and complete plans, specifications and all information required
by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector.
Fee $ 15.00 Building Estimated
Total Livable Area Cost $
$ Sanitary Date Zoning Board Approval
$ Plumbing
$ Well —
'.
"
°
'
L1
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hD
Division of Environmental 'Health Services, Carmel, N. Y. 10512
CONSTRUCTION PERMIT. FOR SEWAGE DISPOSAL .5)YiTEM
I
Towh -or Village
Located
Tax Map 0 Block
V
Owner
—
.
Number f Bedrooms Design Flow
Tota I Habit4ble.Space Square Feet
Separate S"ernLiy_'t82 11b co s; 47-Al. Septic Tank
..Of and -,ft. 21
�Oda X )I c
To be constructed by
Address P=Pit.
q
Water Supply: Public Supply From
Private Supply to " drilled
Other -- Requirements
=
I represent �
that separate
`
system above described will-pe constructed as shown on the approvC.'a'.'attachments he to d i a:ZZdancne with the standards, rules and regulations
re
of the Putnam County Department Of Health, and that on completion."ti-lereof a "Certifi a of �on ctio Compliance" satisfactory to t�he Commission-
er of Health will be submi t
_t.ed to the Department, and a written cRia%antee will be fu ished the owner his,su h ir assigns by the build-:
�di.posal
1
er that said buildej will place in good operatin condition any b��t of said sewage syst durin 0 riod of two (2) years immediately
foilowing _ __ of issuance of approval the __—__
that the
�
rl 3rujulatipria of the Putnam County Department Of Hea-,th.
Date
Address — �
'
.—
APPROVED pomCONSTRUCTION. This approval
�
revocable for cause *° may u* amended o,modified ~^~^""""'""`°d oy* or °*°,u^�^ of *""�,u�w"
u �w/°v
�Da
O.Z
t a By Title
BRUCE R. FOLEY
Public Health Director
LORETTA MOLINARI R.N., M.S.N
Associate Public Health Director
'R` �, Z014;k
Geneva Road
Brewster, New York l.'0509
Environmental, Health (845) 278 - 6130 Fax (945) 278 - 7921
Nursing Services- (845)278'- 6558 ., WIC (845) 278 - 6678. Fax (945) 279 - 6085
Early Intervention (845) 218 -.6014 Preschool (845) 278-6082 Fax (845) 278 - 6648
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
1 0
Re: 67(f
Residence
Tax Map
Town
Gentlemen:
According records maintained by .the Town, the above noted dwelling
IS
IS NOT
in compliance with Town code and the total number of bedrooms on record is'
This information has been obtained from:
CERTIFICATE OF OCCUPANCY: j
ASSESSORS RECORD:
OTHER
Auilding Inspector
BFhouseguidelines
L
m
4.-
PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY,
BEDROOMS
Si�rtahale & lle , /
Oafe
I
� _
r-
{•_.
V4
•- -��,;_ C a.� x. tit'
F"
•8 . i
L.
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•- -��,;_ C a.� x. tit'
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t x
�> a� S PUTNAM COUNTYDEPARTMENT4P0 {HEALTH 9?�'►147,7'
s� F• (� .
°' Dsion of , Enwr6hmentw,, Hea /th Services irCarme/ N : Y 10512
CONSTRUCTION OF I, 'FOR SEWAGE DISPOSAL `SYSTEM
s' - , t •�' _ <t t ^`F To or Village \
Loc��eda�
-, «S 7 G a� _• t—* s x r yr a y ,•%^ t • y -_ i 1
S "ubdlV,iS nt Tax Ma tIgt N' i `
Owner I Adtlress ' � .,
sl3url0rn9 TYpe Lot,, Area "
Number of Bedrooms 4es�gn'E ow [ - f v~� sjjr" Total Habitable Space' Square Feet.
Separate Sewerage Sys c s r of _k' -- Gal Septrc Tank and f't 2 nch
g pi
xx� a£zL,K r i (' )1dh to
!To be constrNcted by � —;� � -• itiy ` � � ' Address � 5 �
X
t _
Water Supplyr, Public Supply From �*
✓\ ^4' G� r 5 wate SUPPIya t0 drl�led y�
t. Address
aOther ReQuIrements
3
resent that I am wholly and completely respgrisible, for tha�deaign ,and rlocition of the proposed system (s) ;.,'A) that the aepa ;ate ,sewage dispoae3 `.
i ,rosy§teig.above.described will be, constructed as shown qn .the apprVv,( attaghments he pt;ow,arid in'accordance''with the:•atandarda, rules and regulatiohs , .
rata. v. -r , P �..: u ..
of the °PUtn�rii'Couhty DepertmentcQf Health, and that on completion the {reof'a Certificate of -Construct on satisfactory to the Commissioh-`•
ei of+'Health ivll.be` submitted to °•the Department.and *aaw ; itten guararitee: will be fyrnistied the •owner his auyee; @ore heirs or ;assigns,: by, the' , build -
e
t fo
t}i
da
Da
Da
at' said builder will place in good :operating condition anyYipart of aid�sewagesdisposal system durin e. rind of -.two (2) ryears; immediately r ;•
dng "the date of theiisauance of the;,approvaS of theCertificate of,Conatruction Compliance `of the o ginal syatem:or anpxrepaira thereto r' "2
lie;dFi17e13'well described above will be located as shown on the approved plaw,and that said` 11 w 1 be sta ed.in accordance with the stab
2 :.r✓
rules and,. qulat na of the Putnam CountyDepartsTent Of Health �
P E: R A
� �tltlress `� Y .' license No
DVED OR•COIVSTRUCTPON Thls app► oval expves one,year'fromrthe date r\ssued unle s construction -of the, urlding »has been ;u rid ertaken'aind rs
b4lel,for cause qr mpy`, be amendedror,modjfred when consrderedhecessary by the -Com sr ner of Health. Any, "change'or alterafion ,of_,const►uctiori
as a w rmrtAi�provedj forwdisposal of domestic` r `r "se ,an a or wa terF only
i \
Title
L:�',... .�..\u�v_.. �+.� ..0 u.11.:.�a..�..i'LV. �1._..a._ �...._�.. �i...- `...+u� -.. >......_ Lam.. .�.__�...t.V�._.. ...a_ — ......it.w.✓- _....a�.1�:1a `'i._. L...��':- �..e,,... _ .... ...i...'i .W_. ..•.�.. 1.
0
FUTNAM•COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. -10512
DESIGN DATA SHEET-SEPARATE
SEWAGE DISPOSAL SYSTEM
FILE NO.
Owner 6jj�S_ 1b1111AA
..Address WV_/V
Located at (Street
WIC -Block Lot
4L
ca a
jeares cross sT r-e-e-TT
Municipality.
Watershed
SOIL PERCOLATION-TEST
DATA-REQUIRED TO BE SUBMITTED WITH APPLICATIONS
R-Ole
Number CLOCK TIME.
PERCOLATION
PERCOLATION.'
Elapse
--Depth -to Water
water LeveI
.-No.
Time
From Ground Surface
in Inches Soil Rate...,
-Start-Stop
Min.
Start -Stop
Drop in Min./in drop
Inches Inche s
Inches
�_
10
10, IL 13
2 V-p
10'
d #
3 10:
I
4
1
A
..coo
Zf
2
3.
4
5
:dotes: 1) T6%pts to be repeated at same depth until approximatel equal soil
rates are obtained at each percolation test hole. All data to L submitted
for review.
2) Depth measurements to be made from top of hole.
TEST PIT DATA REQUIF
DESCRIPTION OF
_. DEPTH _ -- _ HO_ IE - NO—
�..
G.L.
m
18"
24 .
30"
36,E
..42"
48!'
54
60"
hen
D TO BE SUBMITTED. WITH APPLICATION P'
DILS.. ENCO.UNTERED.'.IN . TEST HOLES
HOLE 'N'O.''
O -
-.- •°--- .+.y:�._�.,: .:L ,%sw�.t�<, �en:,.<- .,..,ae.- 1".eu.ea... -. vo+ .- .....�;uv:.c,:i..�.r`_:..��,� �� .
DES IGN
Soil Rate Used 5 Mirl/1 "Drop: S. D. Usable Area Provided J5(
No. oP Bedrooms Septic Tank Capacity d0 Gals. Type
Absorption Area_.P�oyided.By_ L.F.x24 ".. "- width trey
-�� 0th
Name , B n e , , ,, _ s, -�
i Jl� ,V
THIS
SPACE FOR USE
BY HEALTH DEPARTMENT
ONLY:
Soil
Rate Approved
" Sq. Ft /Gal.
Checked by Date
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PUTPiAM ' COUVTY DEPART MIT OF HEALTH '
�hR 11117.1 :.t i �' -Y1 Vr� C�1�l1V'1`1LlV "1`�1J 11�,� �-
�"� -�.x
Date��.
Re:: Property of. V�) ".,LA6 dAh 1AA A 1 /7
.Located at
section ,--fi- Block, Loth;
Gentlemen:
This letter•is.to. authorize T,.:michael DPly,.P.E.
a duly I-icensed.professional engineer or registered architect
(Indicate)
to apply fo.r.a Construction Permit for A separate sewerage' system; to
serve the above noted property'In - accordance with; the standards- rules .
or regulations.- as , promulgated by. the Cozmnzssioner of the:,, Putnam County
,Department of Health ,. and to sign all.-, necessary, papers on my behalf in.
aonnection.'-with, this matter -.an - ��" " A-
7 1u
_ _ d: to _s��e� v-s� tte�,_:c��:'st��� =Z��i. -E� �sa
system or' systems in, conformity with the provisions of Article 145 or
147, Education Law, the Public: Health Law,. and the Putnam County SAni
tart' Code..:`
Countersigned:
Very' truly yours',.
Owner of Property
Address,
BoN, 243 . 3henorock (Seal)
Address
N.Y. , 10587
248 -7022
Talep one
A
Telephone
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